BRECK M TIERNAN DPM - Podiatrist License in Illinois | # 135000583

BRECK M TIERNAN DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000583

License Status

EXPIRED

Business

N

First Name

BRECK

Middle

M

Last Name

TIERNAN

Suffix

DPM

Business Name

BRECK M TIERNAN DPM

Original Issue Date

06/17/2005

Effective Date

06/17/2005

Expiration Date

07/01/2007

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2007